Home Health Care

OCTOBER 13, 2023

It also has to think outside of the box for ways to support the people who need at-home care the most. Headquartered in Nashville, Tennessee, Clover Health is a technology-enabled Medicare Advantage (MA) insurer with its own in-house clinical capabilities. That’s what Clover Health (Nasdaq: CLOV) believes, at least.

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Home Health Care

MARCH 29, 2023

This article is a part of your HHCN+ Membership The Helper Bees (THB) is smack dab in the middle of home care providers and Medicare Advantage (MA) plans. Login The post Why Certain Home Care Providers Are Seeing Success In Medicare Advantage appeared first on Home Health Care News.

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Home Health Care

JANUARY 19, 2023

Home health providers should keep a close eye on the rise and popularity of managed care plans under Medicare Advantage in 2023. That was one of the many messages from Bill Dombi, president of the National Association for Home Care & Hospice (NAHC), during Wednesday’s webinar with Netsmart.

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Home Health Care

NOVEMBER 17, 2022

Whether to engage with Medicare Advantage (MA) plans or not is one of my favorite topics of discussion in home care right now. The MA debate is one we’ve been discussing on Home Health Care News for a long time now. In fact, there is a similar debate going on in the home health care industry simultaneously. .

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Home Health Care

JUNE 9, 2022

Shifting health care payer trends have home-based care providers stuck between two battling business decisions: “adapt or die,” or sustainability. The tense relationship between the home health care industry and MA has been covered extensively on Home Health Care News. To some extent, it still is.

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Home Health Care

JUNE 18, 2024

Nurses of Mass General Brigham’s hospital-at-home program have voted to unionize, and the clinicians at the health system’s home care segment are hoping to follow suit. On May 16, 80 of the health system’s home-at-hospital nurses voted to join the Massachusetts Nurse Association (MSA).

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Home Health Care

NOVEMBER 29, 2021

Home care has become a crucial part of care plans for primary care providers (PCPs), according to a new value-based care report conducted by Humana (NYSE: HUM). The company has its own goal of having half of its Medicare Advantage (MA) members in a value-based home health model by 2027.

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Home Health Care

OCTOBER 31, 2021

With the rollout of this new platform, the company is positioning itself as a go-between for aging-in-place services providers, such as personal care agencies, and Medicare Advantage (MA) plans. Home care agencies want to access MA plans and long-term care insurance plans.

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Home Care Medicare 101

Home Health Care

MAY 22, 2024

A new study of Medicare Advantage (MA) beneficiaries found that in-home companion care reduced care costs by close to 10%. Specifically, Papa was able to reduce health care costs by 9% among MA beneficiaries on behalf of health plans.

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Home Care Medicare Nursing Prevention 99

Home Health Care

APRIL 22, 2024

“The ‘Ensuring Access to Medicaid Services’ final rule, finalized today, will help improve access to home care services as well as improve the quality caregiving jobs through its new provisions for home care,” the White House wrote in a statement Monday. But, for now, those provisions have taken a back seat. “It

Home Care 116

Home Care Medicaid Accountability Regulations 116

Home Health Care

JANUARY 29, 2024

The company continued to steadily grow as it doubled down on value-based care efforts as a strategic partner in the post-acute space. It was also able to take advantage of the dollars that were being funneled into the in-home care space during the early days of the COVID-19 pandemic. In June 2020, the company landed $135.8

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Home Care Urgent Care Medicaid Medicare 110

Home Health Care

APRIL 23, 2022

Compared to fee-for-service Medicare, seniors save close to $2,000 on average in total annual health care spending with Medicare Advantage (MA). That’s according to a new study — based on 2019 Medicare Current Beneficiary Survey data — from Better Medicare Alliance, which features an analysis conducted by the Washington, D.C.-based

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Home Health Care

MARCH 12, 2024

The pricing increases in home care have again outpaced other long-term care sectors, according to Genworth’s (NYSE: GNW) annual cost of care report. In 2023, the cost of a home care aide increased by 10% to an annual median cost of over $75,000, according to Genworth.

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Home Health Care

APRIL 23, 2024

BrightStar Care has built a reputation as one of the home care industry’s innovators. Past examples of the home care franchise company’s pioneering spirit include its investment in small-home senior living residences and its educational partnership with Chamberlain University.

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Home Health Care

JUNE 9, 2023

This article is a part of your HHCN+ Membership The home care industry, so far, has had a relatively quiet 2023. Over the past few years, the home care space has been defined by ample private equity investment, aggressive provider roll-ups, exciting Medicare Advantage (MA) developments and innovative cross-continuum partnerships.

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Home Care Medical Services Medicare 104

Home Health Care

MAY 28, 2024

Helping these kinds of home-based care companies see success in these arrangements has become Integrated Home Care Services’ sweet spot as a driver of value-based care. I had started doing deals, or transactions, within the home care space, and I was introduced to someone within the home care sector.

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Home Care Integration Hospitals Medicare 113

Home Health Care

DECEMBER 7, 2023

While home care providers are working to mitigate headwinds – such as the rising cost of delivering care and staffing challenges – they also have their eye on where the industry goes from here. As 2024 approaches, home care leaders are embracing AI, alternative payer sources, employee-centric solutions and much more.

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Home Care Regulations Nursing Prevention 121

Home Health Care

NOVEMBER 10, 2023

Traditional Medicare beneficiaries are finding they have solid access to home health care. Medicare Advantage (MA) members utilizing home health care, on the other hand, are having a much harder time accessing care. The RIHC report is a detailed overview of the home health landscape.

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Medicare Home Care 115

Home Health Care

FEBRUARY 2, 2024

Coming out of COVID-19, multiple home care franchise systems are really beginning to rev their growth engines again. That will likely be a theme in the broader home care industry this year. One, in particular, is FirstLight Home Care. But we also have to know when to say no.”

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Home Care Medicaid Medicare 104

Home Health Care

DECEMBER 4, 2023

Most Americans will need some sort of in-home care support as they age. To age in place, seniors either need to be completely independent or have some sort of personal care afforded to them. If they qualify for Medicaid, home- and community-based services are an option. The issue is that many of them cannot afford it.

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Home Care Medicaid Nursing Medicare 114

Home Health Care

APRIL 16, 2024

On the Medicare-certified home health side, there was 33% dropoff in deals. In 2021, there were 86 home health deals, compared to 75 in 2022 and 54 last year. In 2023, there were 7 Medicaid home care transactions, which was the same amount of deals that took place the previous year.

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Home Care Medicaid Medicare Nursing 106

Home Health Care

APRIL 23, 2024

This article is a part of your HHCN+ Membership On Tuesday, Centers for Medicare & Medicaid Services (CMS) officials vehemently backed the thought process behind the “80-20” wage mandate in home- and community-based services (HCBS). National Association for Home Care & Hospice (NAHC) President William A.

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Home Care Medicaid Law Firms Quality of Care 110

Home Health Care

FEBRUARY 2, 2023

This article is a part of your HHCN+ Membership Medicare Advantage (MA) only became a real opportunity for home care providers five years ago. Login The post Home Care Providers Are Getting Creative To Reach MA Beneficiaries appeared first on Home Health Care News. per member Already a member?

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Home Care Medicare Medicaid 94

Home Health Care

JANUARY 31, 2024

The Medicare enrollment process undergoes annual changes at the Centers for Medicare & Medicaid Services (CMS) to ensure it remains up to date with evolving regulations, policies and health care practices. 1, and several of them will affect home health agencies. A number of changes went into effect on Jan.

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Medicare Regulations Medicaid Home Care 126

Home Health Care

MARCH 25, 2024

The home care workforce has traditionally been a tough one to organize. Recently, University of Rochester Medicine Home Care (URMHC) workers “overwhelmingly” chose to join a labor union. Home care providers have had greater challenges than we’ve ever seen before.

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Home Care Law Firms Medicaid Medicare 70

Home Health Care

MAY 16, 2024

This article is a part of your HHCN+ Membership If there were ever a time for Medicare Advantage-related troubles to cool off in the home health care space, now would be it. And, heading into the summer, some of the largest home health providers in the country are scoring demonstrable wins that could lead to future success.

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Medicare Hospitals Accountability Medicaid 102

Home Health Care

MARCH 15, 2023

Since the Centers for Medicare & Medicaid Services (CMS) began allowing Medicare Advantage (MA) plans to offer supplemental benefits, those benefits’ popularity has skyrocketed. Their existence alone has changed how home care providers interact with MA plans. But, some providers were wary of wading into MA waters.

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Home Care Medicare Medicaid 92

Home Health Care

FEBRUARY 9, 2024

Two senators introduced a bill Thursday that would create a pilot program aimed at expanding the scope of hospital-at-home care in the U.S. Dubbed the At Home Observation and Medical Evaluation (HOME) Services Act, the bill was introduced specifically by Sens. Marco Rubio (R-Fla.) and Tom Carper (D-Del.). As of Feb.

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Home Care Hospitals Medicaid Medicare 105

Home Health Care

JUNE 30, 2023

Centers for Medicare & Medicaid Services (CMS) published a draft of its FY 2024 home health proposed payment rule Friday. For next year, CMS is proposing to decrease aggregate home health payments by 2.2%, or an estimated $375 million less compared to 2023 levels. This is a developing story. The post CMS Proposes 2.2%

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Home Health Care

MARCH 4, 2024

CareScout is trying to make the process of finding quality long-term care – including home care – easier for U.S. NYSE: GNW), CareScout is currently building out its CareScout Quality Network, which is made up of providers that meet its standards for “quality, person-centered care.” seniors and their families.

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Home Health Care

MARCH 23, 2023

This article is a part of your HHCN+ Membership Home care providers have complained about Medicare Advantage (MA) becoming a more mainstream payer source. Centers for Medicare & Medicaid Services (CMS) is attempting to cut plans’ payment rate by 2.27%. Specifically, the U.S. billion in overpayments to start.

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Home Care Medicare Medicaid 87

Home Health Care

APRIL 27, 2023

About a dozen years ago when Will Putman took over the business development side of Continuous Home Care, his dad — the co-founder of the company — had an unofficial benchmark nicknamed “blackjack.” Continuous Home Care is a Pennsylvania-based home health provider with about 350 employees.

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Home Care Physical Therapy Medicare Accountable Care 89

Home Health Care

SEPTEMBER 10, 2022

Home health stakeholders – and many others – recently had the opportunity to weigh in on the way Medicare Advantage (MA) is currently administered by the U.S. Centers for Medicare & Medicaid Services (CMS). In fact, Medicare Advantage has 28.4 million beneficiaries, or 45% of the Medicare population.

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Home Health Care

FEBRUARY 27, 2023

Nasdaq: SHCR) has expanded its home care offerings. The company will now bring its care management and transitional care programs for high-risk populations to more than just Medicare Advantage beneficiaries. “We Prior to the expansion, Sharecare served Medicare Advantage (MA) plans. Sharecare Inc.

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Home Health Care

JULY 5, 2023

This article is a part of your HHCN+ Membership Home-based care providers — both big and small — are struggling at the negotiating table with Medicare Advantage (MA) plans. Login The post How Home Care Providers Establish Credibility With Managed Medicaid Plans appeared first on Home Health Care News.

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Medicaid Home Care Medicare 90

Home Health Care

NOVEMBER 7, 2023

Centers for Medicare & Medicaid Services (CMS) has stated its objective to enroll all of its Medicare beneficiaries in accountable care relationships by 2030. million Medicare fee-for-service beneficiaries are assigned to an ACO. Currently, roughly 13.2 We’d like to try it that way.’ We have these conversations.”

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Medicare Accountable Care Home Care Accountability 104

Home Health Care

AUGUST 12, 2022

More than ever, Medicare Advantage (MA) plans are stepping up and responding to the demand for more access to care in the home setting. This, in turn, has created an avenue for home-based care providers to lean into new opportunities.

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